Organization
WILLAMETTE ORTHOTICS & PROSTHETICS, LLC
Active
Organization
WILLAMETTE ORTHOTICS & PROSTHETICS, LLC
Active
Other names
Summit Orthotics & Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(503) 364-6006
Entity
Organization
Contact information
Practice address
903 9TH AVE SW, ALBANY, OR 97321-2420
(541) 967-7100
(541) 967-7137
Mailing address
PO BOX 7339, SALEM, OR 97303-0102
(503) 364-6006
(503) 364-6046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
05/12/2026
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